Lauren Elise Wonderly, PTA is a
Physical Therapy Assistant based in Austin, Texas. Lauren Elise Wonderly is licensed to practice in * (Not Available) (license number ) and her current practice location is
13915 Burnet Rd Ste 204, Austin, Texas. She can be reached at her office (for appointments etc.) via phone at
(817) 505-2575.
NPI number for Lauren Elise Wonderly is 1518689835 and her current mailing address is 2309 Ranch Road 12, San Marcos, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518689835.
Healthcare Provider's Profile
| Full Name | Lauren Elise Wonderly |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapy Assistant |
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| Location | 13915 Burnet Rd Ste 204, Austin, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1518689835
- Provider Enumeration Date: 09/13/2022
- Last Update Date: 09/13/2022
Medical Identifiers
Medical identifiers for Lauren Elise Wonderly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518689835 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225200000X | Physical Therapy Assistant | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lauren Elise Wonderly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lauren Elise Wonderly, PTA
2309 Ranch Road 12,
San Marcos, TX 78666-2435
Ph: (512) 557-6664 | Lauren Elise Wonderly, PTA
13915 Burnet Rd Ste 204,
Austin, TX 78728-6537
Ph: (817) 505-2575 |
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